Organization
PRIME TELECARE LLC
Active
Other names
Prime Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LITTY R VADAKKAN FNP-C (PROVIDER)
(512) 740-8993
Entity
Organization
Contact information
Practice address
1000 GATTIS SCHOOL RD STE 440, ROUND ROCK, TX 78664-3313
(512) 740-8993
Mailing address
1000 GATTIS SCHOOL RD STE 440, ROUND ROCK, TX 78664-3313
(512) 740-8993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/22/2021
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